Individual
DR. JULIAN ANTONY MATTIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
8635 W 3RD ST, SUITE 1080 WEST, LOS ANGELES, CA 90048-6101
(310) 423-9900
Mailing address
109 1/2 N HARPER AVE, LOS ANGELES, CA 90048-3503
(610) 836-2382
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A124846
CA
207T00000X
Neurological Surgery Physician
MD421707
PA
Other
Enumeration date
09/16/2008
Last updated
04/03/2013
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